Controlled ischemia for complex venous surgery: The technique of choice
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- 作者：J. Leonel Villavicencio ; David L. Gillespie ; Peter Kreishman
- 关键词：Thoracic aorta aneurysm ; aortotracheal fistula ; aortoesophageal fistula
- 刊名：Journal of Vascular Surgery
- 出版年：2001
- 出版时间：November 2001
- 年：2001
- 卷：34
- 期：5
- 页码：947-951
- 全文大小：100 K
文摘
Surgery under controlled ischemia has been extensively practiced by cardiac, plastic, orthopedic, vascular, and general surgeons. During the past 20 years, we have routinely used this technique to operate on a clean, bloodless field in complex cases of congenital vascular malformations. Based on our favorable experience, we have extended the use of the pneumatic tourniquet to complex cases of primary varicose veins. The use of the tourniquet has dramatically decreased the blood loss and operating time in complex venous surgery without complications secondary to its use. This technique represents a welcome alternative to the bloody, tedious, and time-consuming traditional varicose vein surgery of the past. Complex venous surgery for extensive varicose veins of the extremities can be safely and expeditiously performed under controlled ischemia. It should be the technique of choice. (J Vasc Surg 2001;34:947-51.)